How much rates vary
Facilitymedian $8 · 10th to 90th $6 to $76Professionalmedian $8 · 10th to 90th $5 to $13
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $7.59 | Facility | None | $6.17 | $6.17 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $7.59 Typical High $7.59 | Professional | None | $6.17 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.91 Median $1.15 Typical High $1.15 | Professional | 55 · Aftercare only | $0.91 | $1.15 | $1.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.62 Median $0.76 Typical High $0.76 | Professional | 56 · Pre-op care only | $0.62 | $0.76 | $0.76 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $12.59 | Professional | None | $10.00 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $5.13 Typical High $5.89 | Professional | None | $5.01 | $5.13 | $5.89 |
Emblem Health Setting Professional Modifier None Typical Low $11.75 Median $18.20 Typical High $21.38 | Professional | None | $11.75 | $18.20 | $21.38 |
Geisinger Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Geisinger Setting Professional Modifier None Typical Low $6.31 Median $7.59 Typical High $12.59 | Professional | None | $6.31 | $7.59 | $12.59 |
Highmark BCBS Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $58.88 | Facility | None | $56.23 | $56.23 | $58.88 |
Martin's Point Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
Martin's Point Setting Professional Modifier None Typical Low $6.17 Median $7.59 Typical High $7.59 | Professional | None | $6.17 | $7.59 | $7.59 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.91 Median $1.15 Typical High $1.15 | Professional | 55 · Aftercare only | $0.91 | $1.15 | $1.15 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.62 Median $0.76 Typical High $0.76 | Professional | 56 · Pre-op care only | $0.62 | $0.76 | $0.76 |
Oscar Health Setting Professional Modifier None Typical Low $8.51 Median $17.78 Typical High $19.05 | Professional | None | $8.51 | $17.78 | $19.05 |
UPMC Health Plan Setting Facility Modifier None Typical Low $8.91 Median $40.74 Typical High $69.18 | Facility | None | $8.91 | $40.74 | $69.18 |
UPMC Health Plan Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $11.75 | Professional | None | $8.91 | $8.91 | $11.75 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.17 Typical High $10.47 | Professional | None | $4.79 | $6.17 | $10.47 |
Where Pennsylvania sits
The same service costs 2.7 times more in Hawaii than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 19th of 51
$7.59
HI $13.80VT $5.13
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.